Individual
SHERROD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 W PIONEER PKWY, ARLINGTON, TX 76013-6230
(817) 371-2593
Mailing address
1506 W PIONEER PKWY, ARLINGTON, TX 76013-6230
(817) 371-2593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22702
TX
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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